Individual
ALI MOHAMMADZADEH KOUHPAREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7237
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(949) 403-9510
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
SPI845
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
SELF
CA
Enumeration date
04/29/2022
Last updated
09/19/2024
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